Background: Hypertension beside bleeding and infection are the most common causes of maternal mortality. Meanwhile, HELLP syndrome is one of the harmful complications of hypertension; however, almost HELLP syndrome can be presented without hypertension. If HELLP syndrome is presented, the clinician must decide rapidly and correctly to save patient's life; if not, the complications of HELLP syndrome, like sub capsular bleeding and hepatic rupture could be fatal.Case report: Here we present a 38 year old woman, G3P2, who was 36 weeks pregnant, as a case of sever pre-eclampsia, without any positive past history. The only chief complaint was recent rapid onset of sharp pain in RUQ and liver. The only positive sign in physical examination was hypertension. The patient had presented HELLP syndrome after delivery of her child. After staying in ICU for 5 days, she had good condition, and left the hospital some days later.Conclusion: Maternal hypertension is always a fatal complication of pregnancy and absence of sever signs can not rule out the presentation of pre-eclampsia in future. Although pre-eclampsia is more common in mothers younger than 18 and older than 40 years old, the clinician must be aware of its probability of occurrence in any age. In patients who are a case of pre-eclampsia, the clinician must bring HELLP syndrome into his/her mind, and observe the patient for HELLP syndrome, even after delivery.